FAQ

NY Workers' Comp Forms Explained — C-3, C-4, FROI, SROI

NY workers' comp forms — C-3 claim, C-4 medical, FROI/SROI employer reports, RFA hearing request, C-240 wage statement. What each one does and when it matters.

The main New York workers’ compensation forms each serve a specific procedural function. The Form C-3 is the employee’s claim, which must be filed within 30 days of injury. The C-4 series (C-4 initial, C-4.2 progress, C-4.3 permanency) carries medical reporting from your treating physician. The FROI-04 is the employer’s First Report of Injury, due within 10 days of knowledge. The SROI-04 family is filed by the carrier whenever indemnity payments begin, change, or stop. The RFA-1 lets the claimant request a hearing; the RFA-2 is the employer/carrier equivalent. The C-240 is the wage statement that determines your Average Weekly Wage — and the indemnity rate that flows from it.

C-3, C-4, FROI, SROI, RFA, C-240 — here’s what each one does and when it matters.

TL;DR

  • C-3 — the worker’s employee claim. Must file within 30 days of injury.
  • C-4 series — medical reports from treating providers. C-4 (initial), C-4.2 (progress), C-4.3 (permanency).
  • FROI-04 — employer’s first report of injury.
  • SROI-04 — carrier’s subsequent reports, including indemnity payment information.
  • RFA-1 — Request for Further Action (claimant) or RFA-2 (employer/carrier). Used to request hearings.
  • C-240 — wage statement. Determines AWW.

The forms that matter most

C-3 — Employee Claim

You file this. Within 30 days of injury. It tells the WCB and the carrier you are claiming a work injury.

What goes wrong: filed late (still claimable but a defense gets raised); incomplete; missing all wage components.

C-4 series — Medical Reports

Filed by your treating physician.

  • C-4 — initial visit report
  • C-4.2 — progress report (typically every 90 days for ongoing treatment)
  • C-4.3 — permanency / MMI evaluation
  • C-4 Auth — pre-authorization request for treatment

What goes wrong: treating physician doesn’t file timely; doesn’t document causation language clearly; MMI evaluation premature.

FROI-04 — First Report of Injury (employer)

Employer/carrier files within 10 days of knowledge.

What goes wrong: filed late; characterizes the injury narrowly; misses date or mechanism.

SROI-04 series — Subsequent Reports

Carrier files when indemnity payments start, stop, or change rate. Each version (1, 2, 3 etc.) marks a status change.

What goes wrong: wrong AWW; wrong indemnity rate; payments stopped without basis.

RFA series — Request for Further Action

  • RFA-1 — claimant requests a hearing
  • RFA-2 — employer/carrier requests a hearing

What goes wrong: RFA needed but not filed; case stalls in administrative limbo until requested.

C-240 — Wage Statement

Determines your Average Weekly Wage, which sets your indemnity rate. AWW is the heart of the money.

What goes wrong: filed with incomplete payroll; misses overtime, holiday pay, differential, mutual swaps; uses wrong look-back period; doesn’t include similar-employee comparison when needed.

Other forms

  • HP-1 — physician’s request for pre-authorization
  • MG-1, MG-2 — variance request and response
  • C-32 / C-32.1 — Section 32 settlement agreement and notice
  • C-25 — annual report of injury status for ongoing classified cases
  • C-67 — proof of coverage notice
  • C-258 — health insurance lien notice
  • C-2F — modified C-3 for occupational disease claims

Where to find them

All NY WC forms are at the WCB website’s forms section. Many are filed electronically through the WCB’s eCase / OnBoard system rather than paper.

What to do next

The forms are downloadable but the strategy of when and what to file matters. Contact me directly.

Frequently Asked Questions

What are the main New York workers' compensation forms?

The key NY workers' comp forms are: C-3 (employee claim, filed within 30 days), C-4 series (medical reports), FROI-04 (employer's first report), SROI-04 (carrier's subsequent reports), RFA-1 (claimant hearing request), and C-240 (wage statement determining AWW).

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This page is informational. It is not legal advice and does not create an attorney-client relationship. Every workers' compensation case turns on its facts. For analysis of your matter, contact me directly.

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